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PART 2: TO BE COMPLETED BY THE  APPLICANT Program Information -   This information can be found on the ABPTRFE Online Directory  PROGRAM STRUCTURE Program Type (select program type): Single

site, Multi-Site, Multi-Facility Program Format (select program  format): Part-time, Full-time Program Length :  Enter the program length in months 2nd Program Format (select 2nd  program

format, if applicable): Part-time, Full-Time Number of Participant Positions Each Calendar Year: Enter the number of participant positions PROGRAM APPLICANT INFORMATION Application Deadline

Date: Enter the anticipated program application deadline date. Program Start Date: Enter the anticipated program start date. 2nd Application Deadline Date  (if applicable): Enter the 2nd

program application deadline date, if applicable. Program 2nd Start Date: Enter the 2nd program start date, if applicable.  3rd Application Deadline Date (if applicable): Enter the 3rd

program application deadline date, if applicable. Program 3rd Start Date: Enter the 3rd program start date, if applicable. 4th Application Deadline Date (if applicable): Enter the 4th

program application deadline date, if applicable. Program 4th Start Date: Enter the 4th program start date, if applicable. Format for Educational Hours (Select format): In-person, remote,

both in-person and remote Affiliated Practice Site Locations (select locations): All within close proximity to program's main address, all distant to  program's main address, both

close proximity and  distant sites Mentor Appointment to Faculty (select appointment type): Mentors identified by program, mentors identified by participant Mentor Accessibility (select

accessibility):  on-site, off-site, both on-site and off-site